首页|清胃泻心汤联合四联疗法对幽门螺杆菌阳性胃溃疡患者的影响

清胃泻心汤联合四联疗法对幽门螺杆菌阳性胃溃疡患者的影响

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目的:分析清胃泻心汤联合四联疗法对幽门螺杆菌阳性胃溃疡患者的影响.方法:选取 2020 年 3 月—2023 年4 月浦城县中医医院收治的 120 例幽门螺杆菌阳性胃溃疡患者为研究对象.根据随机数表法将其分为中西医组与单西医组,各 60 例.单西医组采用四联疗法,中西医组采用四联疗法联合清胃泻心汤.比较两组临床疗效,治疗前后胃黏膜指标、胃黏膜情况及中医症候积分.结果:中西医组总有效率为 91.67%,高于单西医组的 76.67%,差异有统计学意义(P<0.05).治疗后,两组胃黏膜表皮生长因子(EGF)、表皮生长因子受体(EGFR)水平均升高,中西医组EGF和EGFR水平均高于单西医组,差异有统计学意义(P<0.05).治疗后,两组嗳气、反酸、胃脘胀满评分均降低,中西医组嗳气、反酸、胃脘胀满评分均低于单西医组,差异有统计学意义(P<0.05).治疗后,两组腺体形态、炎症细胞浸润程度、腺体密度、黏膜厚度变化评分均降低,中西医组腺体形态、炎症细胞浸润程度、腺体密度、黏膜厚度变化评分均低于单西医组,差异有统计学意义(P<0.05).结论:清胃泻心汤联合四联疗法能有效提高幽门螺杆菌阳性胃溃疡患者临床疗效,并改善胃黏膜功能.
Influence of Qingwei Xiexin Decoction Combined with Quadruple Therapy on Helicobacter Pylori Positive Gastric Ulcer Patients
Objective:To analyze the influence of Qingwei Xiexin Decoction combined with quadruple therapy on Helicobacter pylori positive gastric ulcer patients.Method:A total of 120 patients with Helicobacter pylori positive gastric ulcer admitted to Pucheng County Hospital of Traditional Chinese Medicine from March 2020 to April 2023 were selected as the study objects.They were divided into traditional Chinese and western medicine group and single western medicine group according to random number table method,with 60 cases in each group.The single western medicine group was treated with quadruple therapy,and the traditional Chinese and western medicine group was treated with quadruple therapy combined with Qingwei Xiexin Decoction.The clinical efficacy,gastric mucosa index,gastric mucosa condition and traditional Chinese medicine syndrome score before and after treatment were compared between two groups.Result:The total effective rate in the traditional Chinese and western medicine group was 91.67%,which was higher than 76.67%in the single western medicine group,and the difference was statistically significant(P<0.05).After treatment,the levels of epidermal growth factor(EGF)and epidermal growth factor receptor(EGFR)in both groups were increased,and the levels of EGF and EGFR in traditional Chinese and western medicine group were higher than those in single western medicine group,the differences were statistically significant(P<0.05).After treatment,the scores of belching,acid regurgitation and stomach distension in both groups were decreased,and the scores of belching,acid regurgitation and stomach distension in the traditional Chinese and western medicine group were lower than those in the single western medicine group group,the differences were statistically significant(P<0.05).After treatment,glandular morphology,inflammatory cell infiltration degree,glandular density and mucosal thickness change scores were decreased in both groups,and glandular morphology,inflammatory cell infiltration degree,glandular density and mucosal thickness change scores in the traditional Chinese and western medicine group were lower than those in the single western medicine group group,the differences were statistically significant(P<0.05).Conclusion:Qingwei Xiexin Decoction combined with quadruple therapy can effectively improve the clinical effect of Helicobacter pylori positive gastric ulcer patients,and improve the gastric mucosal function.

Qingwei Xiexin DecoctionQuadruple therapyHelicobacter pylori positiveGastric ulcerEfficacyGastric mucosa epidermal growth factor

吴俊峰

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浦城县中医医院 福建 浦城 353400

清胃泻心汤 四联疗法 幽门螺杆菌阳性 胃溃疡 疗效 胃黏膜表皮生长因子

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(25)